| NPI | 1407801418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: FL ARNP1020242) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP1020242) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2012-09-07 |